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DEI Data System - State Government
Disability Employment Initiative Evaluation
OMB: 1230-0006
IC ID: 199068
OMB.report
DOL/ODEP
OMB 1230-0006
ICR 201104-1230-001
IC 199068
( )
Documents and Forms
Document Name
Document Type
DEI Data System Data Elements.xlsx
Other-Data Elements to be Collected
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc
Site Visit Protocol
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DEI Data System - State Government
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Data Elements to be Collected
DEI Data System Data Elements.xlsx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
System of Records Notice, DOL/ETA-15
FR Citation:
67 FR 16898
Number of Respondents:
16
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
289,972
0
289,972
0
0
0
Annual IC Time Burden (Hours)
23,294
0
23,294
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Site Visit Protocol
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc
01/30/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.